Individual
MEGUMI IKEDA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC/LAT
Contact information
Practice address
21630 STATE HIGHWAY 59 S, ROBERTSDALE, AL 36567-6710
(251) 947-4154
(251) 947-2666
Mailing address
14658 SILVER OAKS LOOP, SILVERHILL, AL 36576-3741
(251) 600-9448
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1339
AL
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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